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I, ____________________________________________, know that reaching my weight loss goal of _____________________ is not possible without pledging to make the changes necessary to improve my lifestyle. Therefore, I pledge do to the following:
A. I am pledging to lose ______________ a week with a total loss at the end of a year of ________________ pounds.
B. I am pledging to drink ______________ ounces/glasses of water at least ____________ days a week.
C. I am pledging to exercise ______________ minutes/miles a day at least ____________ days a week.
D. I am pledging to follow my food plan of ________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
at least ______________ days a week.
E. I am pledging to measure my weight loss, water consumed, exercise done and food intake by ________________
____________________________________ at least ______________ days a week.
F. I am pledging that I will end EACH and EVERY day with a positive affirmation of what I did that day. Further, I will start EACH and EVERY day with one short-term goal that I will achieve that day.
G. I will reward myself by ________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
when I achieve _______________ of the pledges above during a time period of ________________________________.
Signed: _____________________________________________________________
Dated: _____________________________________________________________
Witnessed: __________________________________________________________
Questions to consider regarding the witness above:
1. Are you comfortable sharing these pledges with the witness you are considering?
2. Will the witness you are considering hold you accountable to the pledges above?
3. Will the witness you are considering be supportive when you are facing struggles and challenges?
4. Will the witness you are considering welcome phone calls when you need a friend, contact you periodically when needed and be forthcoming with support and encouragement?
If you've answered yes to ALL of the questions above, then you've selected the right witness.
Copyright 2008, Angela Farley
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